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J Atr Fibrillation. 2014 Dec 31;7(4):1161. doi: 10.4022/jafib.1161. eCollection 2014 Dec.

Right Ventricular Outflow Tract Arrhythmias: Benign Or Early Stage Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia?.

Journal of atrial fibrillation

Tina Lin, Sergio Conti, Laura Cipolletta, Vittoria Marino, Martina Zucchetti, Eleonora Russo, Francesca Pizzamiglio, Ghaliah AlMohani, Salvatore Pala, Valentina Catto, Luigi Di Biase, Andrea Natale, Claudio Tondo, Corrado Carbucicchio

Affiliations

  1. Cardiac Arrhythmia Research Centre, Centro Cardiologico Monzino IRCCS, Milan, Italy.
  2. Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA; Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA; Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA; Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA.
  3. Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA; Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA; Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA; Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA; Texas Cardiac Arrhytmia Institute at St David's Medical Centre, Austin , TX, USA.

PMID: 27957137 PMCID: PMC5135205 DOI: 10.4022/jafib.1161

Abstract

Ventricular arrhythmias (VAs) arising from the right ventricular outflow tract (RVOT) are a common and heterogeneous entity. Idiopathic right ventricular arrhythmias (IdioVAs) are generally benign, with excellent ablation outcomes and long-term arrhythmia-free survival, and must be distinguished from other conditions associated with VAs arising from the right ventricle: the differential diagnosis with arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) is therefore crucial because VAs are one of the most important causes of sudden cardiac death (SCD) in young individuals even with early stage of the disease. Radiofrequency catheter ablation (RFCA) is a current option for the treatment of VAs but important differences must be considered in terms of indication, purposes and procedural strategies in the treatment of the two conditions. In this review, we comprehensively discuss clinical and electrophysiological features, diagnostic and therapeutic techniques in a compared analysis of these two entities.

Keywords: Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia; Cardiac Magnetic Resonance Imaging; Catheter Ablation; Idiopathic Ventricular Arrhythmias; Right Ventricular Outflow Tract; Three-Dimensional Electroanatomical Mapping

References

  1. J Cardiovasc Electrophysiol. 2003 Jan;14(1):1-7 - PubMed
  2. Circulation. 1996 Sep 1;94(5):983-91 - PubMed
  3. Circulation. 2004 Sep 21;110(12):1527-34 - PubMed
  4. J Am Coll Cardiol. 2007 Jul 31;50(5):432-40 - PubMed
  5. Circulation. 1997 Oct 21;96(8):2633-40 - PubMed
  6. Circulation. 1997 Aug 19;96(4):1192-200 - PubMed
  7. Am J Cardiol. 1992 Dec 15;70(20):1589-95 - PubMed
  8. J Am Coll Cardiol. 2005 Jan 4;45(1):98-103 - PubMed
  9. J Am Coll Cardiol. 1998 Sep;32(3):724-8 - PubMed
  10. Radiology. 1998 Jun;207(3):743-51 - PubMed
  11. Europace. 2005 Nov;7(6):516-24 - PubMed
  12. Ann Noninvasive Electrocardiol. 2011 Jul;16(3):263-9 - PubMed
  13. Circulation. 2007 Apr 3;115(13):1710-20 - PubMed
  14. Heart Rhythm. 2011 Jan;8(1):76-83 - PubMed
  15. Annu Rev Med. 1999;50:17-35 - PubMed
  16. J Am Coll Cardiol. 2003 Jun 4;41(11):2046-53 - PubMed
  17. Pacing Clin Electrophysiol. 1990 Sep;13(9):1142-7 - PubMed
  18. Europace. 2009 Jun;11(6):771-817 - PubMed
  19. J Am Coll Cardiol. 1994 Sep;24(3):720-7 - PubMed
  20. J Cardiovasc Electrophysiol. 2005 Sep;16(9):1017-22 - PubMed
  21. J Cardiovasc Electrophysiol. 2004 Mar;15(3):349-55 - PubMed
  22. Br Heart J. 1994 Mar;71(3):215-8 - PubMed
  23. Circulation. 2001 Jun 26;103(25):3075-80 - PubMed
  24. Heart. 2002 Jan;87(1):41-7 - PubMed
  25. J Cardiovasc Electrophysiol. 2009 Aug;20(8):955-68 - PubMed
  26. Lancet. 2009 Apr 11;373(9671):1289-300 - PubMed
  27. J Cardiovasc Electrophysiol. 2006 Jul;17(7):800-2 - PubMed
  28. Circulation. 1989 May;79(5):990-9 - PubMed
  29. Heart Lung Circ. 2008 Dec;17(6):478-83 - PubMed
  30. Circulation. 1996 Dec 1;94(11):2843-9 - PubMed
  31. Circulation. 2005 Jun 14;111(23):3042-50 - PubMed
  32. Cardiology. 2003;99(3):153-62 - PubMed
  33. Circulation. 2005 Jun 21;111(24):3209-16 - PubMed
  34. Circulation. 1982 Feb;65(2):384-98 - PubMed
  35. J Cardiovasc Electrophysiol. 2005 Sep;16 Suppl 1:S52-8 - PubMed
  36. Heart Rhythm. 2011 Dec;8(12):1915-22 - PubMed
  37. Circulation. 2004 Oct 19;110(16):2293-8 - PubMed
  38. Circ Arrhythm Electrophysiol. 2012 Feb;5(1):91-100 - PubMed
  39. Circulation. 2010 Apr 6;121(13):1533-41 - PubMed
  40. Circulation. 1986 Aug;74(2):270-80 - PubMed
  41. Heart Rhythm. 2011 Aug;8(8):1254-63 - PubMed
  42. Circ Arrhythm Electrophysiol. 2012 Dec;5(6):1233-46 - PubMed
  43. J Am Coll Cardiol. 1997 Nov 15;30(6):1512-20 - PubMed
  44. J Am Coll Cardiol. 2008 Feb 19;51(7):731-9 - PubMed
  45. J Cardiovasc Electrophysiol. 2009 Oct;20(10):1119-27 - PubMed
  46. Circulation. 1995 Aug 1;92(3):421-9 - PubMed
  47. Am J Cardiol. 1978 Sep;42(3):416-24 - PubMed
  48. Circ Arrhythm Electrophysiol. 2012 Feb;5(1):111-21 - PubMed
  49. ScientificWorldJournal. 2008 Mar 03;8:239-69 - PubMed
  50. J Cardiovasc Electrophysiol. 2005 Aug;16(8):823-9 - PubMed
  51. J Cardiovasc Electrophysiol. 2006 May;17(5):469-76 - PubMed
  52. J Am Coll Cardiol. 2006 Dec 5;48(11):2277-84 - PubMed
  53. Ann Noninvasive Electrocardiol. 2003 Jul;8(3):238-45 - PubMed
  54. Circulation. 2012 Jan 24;125(3):529-38 - PubMed
  55. J Cardiovasc Electrophysiol. 2003 May;14 (5):476-82 - PubMed
  56. J Cardiovasc Magn Reson. 2004;6(3):601-8 - PubMed
  57. Circ Arrhythm Electrophysiol. 2012 Jun 1;5(3):499-505 - PubMed
  58. Am J Cardiol. 2005 Apr 15;95(8):935-40 - PubMed
  59. J Cardiovasc Electrophysiol. 2003 Apr;14(4):383-91 - PubMed
  60. N Engl J Med. 1988 Jan 21;318(3):129-33 - PubMed
  61. J Cardiovasc Electrophysiol. 1998 Jan;9(1):84-7 - PubMed
  62. Circulation. 2009 Aug 4;120(5):366-75 - PubMed
  63. J Am Coll Cardiol. 2001 Dec;38(7):2020-7 - PubMed
  64. Eur Heart J. 2003 May;24(9):801-10 - PubMed
  65. J Am Coll Cardiol. 2011 Aug 16;58(8):831-8 - PubMed
  66. J Cardiovasc Electrophysiol. 2010 Apr;21(4):473-86 - PubMed
  67. Circulation. 1983 Nov;68(5):917-27 - PubMed
  68. Circ Res. 1992 Aug;71(2):240-50 - PubMed
  69. Circ Arrhythm Electrophysiol. 2011 Aug;4(4):478-85 - PubMed
  70. Indian Pacing Electrophysiol J. 2013 Jan;13(1):14-33 - PubMed
  71. J Cardiovasc Electrophysiol. 2011 Dec;22(12):1359-66 - PubMed

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